After-School Tutor Application

advertisement

Schools Program

314-953-5800; FAX 314-953-5813

Hazelwood West High School

#1 Wildcat Lane

Hazelwood, MO 63042

Please return this completed form to the A+ office.

After-School Tutoring Application

Student Name: ________________________________________________________ Class: _________ Student ID#: ___________

First Last

I would prefer to work at:

Elementary School: (Usually after regular school hours)

□ Monday □ Tuesday □ Wednesday □ Thursday □ Friday

□ Russell □ McCurdy □ Lusher □ Armstrong □ McNair □ Garrett □ Lawson

□ Other____________________

Middle Schools: (Usually after regular school hours)

□ Monday □ Tuesday □ Wednesday □ Thursday □ Friday

□ Northwest Middle □ West Middle

West High School □ Monday □ Tuesday □ Wednesday □ Thursday □ Friday

□ Math □ Social Studies □ Science □ English □ Languages (Specify) ___________ Other __________

I understand that I will need to secure my own transportation to the tutoring site. I have read the tutoring procedures and policies and agree to them. I understand that if I must miss an assigned tutoring session, I must notify the tutoring site. If I miss three tutoring sessions without notification,

I will be placed on probation and possibly dropped from the A+ Program.

Student Signature: _______________________________________ Parent Signature: _________________________________

*Students must have a minimum cumulative 2.5 GPA, 95% cumulative attendance, and no more than 12 days combined ISS/OSS for fours year while enrolled in the Hazelwood School District in order to maintain A+ eligibility.

Download